US7470265B2 - Dual access spike for infusate bags - Google Patents
Dual access spike for infusate bags Download PDFInfo
- Publication number
- US7470265B2 US7470265B2 US10/393,185 US39318503A US7470265B2 US 7470265 B2 US7470265 B2 US 7470265B2 US 39318503 A US39318503 A US 39318503A US 7470265 B2 US7470265 B2 US 7470265B2
- Authority
- US
- United States
- Prior art keywords
- inlet
- outlet
- shaft
- tip
- wider portion
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Lifetime, expires
Links
- 230000009977 dual effect Effects 0.000 title description 2
- 230000003134 recirculating effect Effects 0.000 claims abstract description 5
- 239000012528 membrane Substances 0.000 claims description 22
- 230000007704 transition Effects 0.000 claims description 10
- 238000003780 insertion Methods 0.000 claims description 6
- 230000037431 insertion Effects 0.000 claims description 6
- 238000007789 sealing Methods 0.000 claims description 2
- 239000012530 fluid Substances 0.000 abstract description 82
- 210000003739 neck Anatomy 0.000 description 6
- 230000006835 compression Effects 0.000 description 5
- 238000007906 compression Methods 0.000 description 5
- 239000007789 gas Substances 0.000 description 4
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 3
- 238000002615 hemofiltration Methods 0.000 description 3
- 230000000712 assembly Effects 0.000 description 2
- 238000000429 assembly Methods 0.000 description 2
- 239000008280 blood Substances 0.000 description 2
- 210000004369 blood Anatomy 0.000 description 2
- 239000000463 material Substances 0.000 description 2
- 238000000034 method Methods 0.000 description 2
- 239000011780 sodium chloride Substances 0.000 description 2
- WQZGKKKJIJFFOK-GASJEMHNSA-N Glucose Natural products OC[C@H]1OC(O)[C@H](O)[C@@H](O)[C@@H]1O WQZGKKKJIJFFOK-GASJEMHNSA-N 0.000 description 1
- WQZGKKKJIJFFOK-VFUOTHLCSA-N beta-D-glucose Chemical compound OC[C@H]1O[C@@H](O)[C@H](O)[C@@H](O)[C@@H]1O WQZGKKKJIJFFOK-VFUOTHLCSA-N 0.000 description 1
- 239000000560 biocompatible material Substances 0.000 description 1
- 238000004891 communication Methods 0.000 description 1
- 239000000470 constituent Substances 0.000 description 1
- 230000008878 coupling Effects 0.000 description 1
- 238000010168 coupling process Methods 0.000 description 1
- 238000005859 coupling reaction Methods 0.000 description 1
- 238000000502 dialysis Methods 0.000 description 1
- 239000008103 glucose Substances 0.000 description 1
- 230000005484 gravity Effects 0.000 description 1
- 231100001261 hazardous Toxicity 0.000 description 1
- 239000002991 molded plastic Substances 0.000 description 1
- 230000035515 penetration Effects 0.000 description 1
- 230000037452 priming Effects 0.000 description 1
- 239000003566 sealing material Substances 0.000 description 1
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
- A61M5/162—Needle sets, i.e. connections by puncture between reservoir and tube ; Connections between reservoir and tube
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/36—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests with means for eliminating or preventing injection or infusion of air into body
Definitions
- the invention generally relates to access used for providing two openings to a fluid container, for example, an infusible fluid bag such as saline.
- the invention provides systems and devices for handling air in a fluid processing circuit.
- U.S. patent application Ser. No. 09/905,171 incorporated by reference as if fully set forth herein in its entirety, describes systems for priming a replacement fluid circuit of a hemofiltration machine by recirculating fluid through a replacement fluid reservoir. Gas settles out of solution in the reservoir as the fluid is recirculated.
- the replacement fluid reservoir used in hemofiltration systems is commonly in the form of a fluid bag as used for sterile infusates such as saline or glucose solutions.
- a connector device is employed which consists, in part, of a bag spike with two flow channels. The single spike can be forced into a port that is sealed by a membrane until being perforated by the spike. Fluid flow out an inlet opening at the tip of the spike and is drawn from the bag through an outlet opening at the base of the spike.
- the present invention solves the problem of short-circuit flow in a double-access connector by various means, for instances, by providing that a distance between the outlet opening be located at a point within the greater interior volume of the bag. This can be achieved by extending the tip of the spike until it is long enough to reach outside the tube-shaped port of the fluid bag.
- the tip may be beveled to provide a sharp point that eases the piercing of the membrane.
- the outlet opening may be formed in a rounded or beveled surface located at the very tip.
- the inlet opening may be provided on a second beveled surface whose edges are rounded to allow it to pass through the membrane easily.
- the beveled surface is conical to ease insertion.
- the lower portion is made substantially larger than the upper portion, the latter being so narrow as to not make a tight fit into the port. This requires that the spike be inserted all the way into the port to obtain a seal.
- the transition to a wide diameter base of the spike may be made an abrupt one and the inlet opening located sufficiently far away from the base to guarantee its placement in the larger volume of the bag.
- the invention is a multiple access container connector for use with fluid containers having elongated access extensions that has a body with an elongated shaft.
- the elongated shaft has a base, a tip, and an inlet orifice at the tip and an outlet orifice.
- the body has an inlet flow channel to couple for flow an inlet port at the base to the inlet orifice and an outlet flow channel to couple for flow an outlet port at the base to the outlet orifice.
- the elongated shaft has a length to ensure the inlet orifice is insertable beyond the elongated access extension.
- the body may have a base shaft substantially coaxial with the elongated shaft and located at the base, the base shaft having a diameter large enough to provide a compression seal with an opening of the elongated access neck.
- a transition portion of the body between the elongated shaft and the base shaft may be characterized by a progressively increasing cross-sectional area that is effective to ease a forcing of the connector through any obstacles in the elongated extension.
- the elongated shaft may have a diameter that is too small to provide a compression seal with an opening of the elongated access neck.
- the outlet opening may be located at the base.
- the base shaft may have a diameter large enough to provide a compression seal with an opening of the elongated access neck.
- the elongated shaft may have a diameter that is too small to provide a compression seal with an opening of the elongated access neck. This ensures the connector is inserted well into the elongated access extensions of some fluid containers, such as fluid bags used for infusible fluids.
- the invention is a connector for use with fluid containers having access ports with elongated necks.
- the connector has a body constructed for coupling to a fluid container, a first fluid passage in the body, a second fluid passage in the body that does not communicate with the first fluid passage.
- a first assembly communicating with the first fluid passage and including a first fitting to releasably couple the first fluid passage to an outlet of a fluid circuit and to convey fluid only through the first fluid passage is also provided.
- a second assembly communicates only with the second fluid passage and includes a second fitting to releasably couple the second fluid passage to an inlet of the fluid circuit.
- fluid can be circulated through the fluid container in a loop that includes the fluid circuit to collect in the fluid source air residing in the fluid circuit.
- the body has an elongated portion sufficiently long to ensure an outlet of the first fluid passage can reach into the fluid container and beyond a neck of the container.
- one end of the connector body may be tapered to form a spike.
- At least one of the first and second assemblies may include a luer fitting.
- At least one of the first and second assemblies may include an in-line clamp.
- the body may include a distal end communicating with the fluid source, wherein the first and second fluid passages each exits the distal end, and wherein the first fluid passage exits the distal end of the body at a higher gravity height that the second fluid passage exits the distal end.
- the base of the body near the releasable connectors may be wider than near the tip such that if the connector is not fully inserted in a port, the fluid will leak. This configuration may help to ensure the connector is fully inserted so the outlet is well within the container.
- FIG. 1A illustrates a fluid circuit and fluid reservoir or tank coupled to circulate fluid and thereby eliminate gases in fluid or other light constituents.
- FIG. 1B is an illustration of a double access spike with ports that may be susceptible to short circuit flow when used in a narrow channel.
- FIG. 1C is an illustration of a double access spike in a fluid bag port with a narrow channel.
- FIG. 2A is a plan view of a preferred embodiment of a double access spike.
- FIG. 2B is a first side view of the spike of FIG. 2A .
- FIG. 2C is a front view of the spike of FIGS. 2A and 2B .
- FIG. 2D is bottom view of the spike of FIG. 2A-C .
- FIG. 2E is a second side view of the spike of FIG. 2A-D .
- FIG. 2F is a section view of the spike of FIGS. 2A-E taken along the section shown in FIG. 2E .
- FIG. 3A is a bottom oblique view of the spike of FIGS. 2A-F .
- FIG. 3B is a top oblique view of the spike of FIGS. 2A-F and 3 A.
- FIG. 3C is a side view of a spike with a conical transition from an elongated shaft portion to a base shaft portion.
- FIG. 4A illustrates a fluid container with a port protected by a removable plug and a puncturable membrane.
- FIG. 4B illustrates the fluid container of FIG. 4A with the spike of FIGS. 2A-F and 3 A-B inserted in the port.
- FIGS. 5 and 6 illustrate two further embodiments of dual access spikes.
- FIGS. 7A and 7B are illustrations of an elongated access spike with inlet and outlet openings that are both near a tip thereof.
- FIG. 7C illustrates a variation of the embodiment of FIGS. 7A and 7B with a wide base portion on a shaft thereof.
- FIG. 7D illustrates a spike with an elongated shaft that is not quite long enough to reach within a container, but which is near a boundary such that flow is not retarded by the port tube.
- a fluid reservoir 410 supplies fluid via a supply channel 415 to a fluid circuit represented schematically at 420 .
- the fluid circuit 420 may be a blood treatment systems such as dialysis or hemofiltration. Fluid may be conveyed with the assistance of a pump 435 , which, although shown separately may form part of the fluid circuit 420 .
- the fluid reservoir 410 may be connected temporarily to allow a return flow 425 and may employ two accesses to the reservoir 410 .
- a spike shown generally at 300 has a pointed tip 365 and inlet and outlet openings 336 and 337 , respectively, near the tip 365 .
- a handle portion 325 facilitates insertion of the spike 300 into a container port (not shown in this figure, but described below).
- An inlet tube 345 supplies fluid through a channel 335 to the inlet opening 336 .
- An outlet tube 340 draws fluid through a channel 330 from the outlet opening 337 .
- An elongated shaft 375 has a uniform diameter for sealing in the container port.
- a container 320 has a port tube 360 into which the shaft 375 is forced to form a seal and provide communication between the inlet tube 345 and the outlet tube 340 and the interior of the container 320 .
- the tube port 360 of the container 320 is common in fluid bags used for infusible fluids such as saline solution and other medical fluids. Fluid flows into a greater interior 312 of the container 320 where bubbles 310 may settle out into the container 320 thereby reducing the amount of bubbles in the fluid leaving through the outlet opening 337 . For some fluid circuits, such a removal process may be performed prior to a treatment, as described in the patent application incorporated by reference above.
- Some manufacturers of containers 320 such as fluid bag-types, provide port tubes 360 that are much longer than others. As a result, for some types, the tip 365 may not extend into the greater interior 312 . When that occurs, fluid entering the container 320 from the inlet opening 336 may take a short-circuit path into the outlet opening 337 . This is due, in part, to the fact that the outlet flow from the outlet opening 336 is confined within an interior flow space 331 defined by the port tube 360 . The high flow resistance overcomes the inertia of the initial flow slowing it down and keeping the outlet flow close to the suction zone of the flow back into inlet opening 337 .
- a double-access spike 10 has an elongated extension shaft portion 22 that is substantially circular in cross-section with a single outlet port 18 at a tip 24 thereof.
- An inlet port 20 is located adjacent a base shaft portion 14 that has a substantially larger diameter than the extension shaft portion 22 .
- Each of the inlet and outlet ports 18 and 20 communicates with inlet and outlet connection ports 34 and 36 , respectively.
- a shelf 12 facilitates a user's ability to grasp the spike 10 and force it into a port (shown in FIGS. 4A and 4B and discussed below).
- Flange portions 32 provide structural rigidity.
- Tubing (not shown) may be inserted into the ports 34 and 36 and bonded to the ports 34 and 36 and later plugged and sterilized as a unit.
- a sloped and curved portion 28 allows the base shaft portion 14 to be forced easily through any cover, such as a membrane (not shown) or other covering that might be present in the container port.
- An alternative embodiment of the sloped and curved portion 28 is shown in FIG. 3C . In that embodiment, a conical portion 28 A provides a similar function and may be advantageous in terms of ease of use.
- a protrusion 33 may be incorporated on the outside of the extension shaft portion 22 to cut through any sealing material that might seal around the extension shaft portion 22 thereby allowing a user to force the spike 10 less than fully into a container port (not shown). This is explained in connection with FIGS. 4A and 4B , below.
- the spike 22 may be supplied as part of a complete fluid circuit as described in the patent application incorporated by reference above.
- the spike 10 may be manufactured from injection-molded plastic material. It may be formed in one or more parts of identical or different materials. For medical applications, the spike 10 is preferably made from bio-compatible materials.
- a typical fluid container in the form of a fluid bag 521 has a port extension 530 with an access 516 protected by a removable plug 515 .
- a membrane 520 maintains the container 521 in a sealed state, protecting contents 525 , until the membrane 520 is punctured by a conventional spike or one such as spike 10 of the foregoing figures.
- the sealed container 521 membrane 520 is shown after accessing using a spike 10 as illustrated in the foregoing figures.
- the extension shaft portion 22 extends well into an interior 526 of the container 521 .
- the protrusion 33 ensures that the membrane 520 is sufficiently disrupted—stretched or cut—upon insertion of the extension shaft portion 22 through the port extension 530 that fluid 525 will leak unless the base shaft portion 14 is forced well into the access 516 . If the base shaft portion 14 is sized to form a seal with the access 516 , then the penetration of the extended shaft portion 22 will be ensured, assuming that the user is motivated to avoid leaks.
- the inlet opening 18 may be certain to be located well within the interior 526 and well beyond an interior 531 of the port shaft 530 . This helps to ensure against short-circuit flow because the momentum of an inlet flow 540 carries any gases well inside the interior volume 526 thereby substantially avoiding a suction zone 527 near the outlet opening 20 created by an outlet flow through the outlet opening 20 .
- FIG. 5 another embodiment of a double access spike 605 has a tapered shaft 610 with an inlet opening 616 near its tip 619 and an outlet opening 617 near its base 618 .
- Inlet and outlet ports 623 and 624 are provided for attachment of respective tubes 622 and 620 .
- a base portion 634 is provided to ensure that the spike 605 is inserted well into a port (e.g. 516 of FIG. 4A ).
- yet another embodiment of a double access spike 641 has a cone-shaped forming a tapered shaft 640 that is open to hold a tube 645 therewithin.
- An inlet opening 643 at the end of the tube 645 is near the tip 642 of the shaft 640 .
- An outlet opening 660 is provided in a spherical base portion 655 .
- the inlet and outlet openings 643 and 660 communicate with respective ports 662 and 662 .
- the diameter of the base portion 655 ensures that the spike 641 is inserted well into a port (e.g. 516 of FIG. 4A ).
- the open shape of the shaft 640 forms a recess 646 within whose blind end the tube 645 resides and whose access ensures that fluid 525 ( FIG. 4A ) in the container interior 526 ( FIG. 4A ) is able to reach the opening 660 . This is so because the shaft 640 creates an opening in the membrane 650 if present.
- FIGS. 7A and 7B depending upon the size and shape of the container 320 , it may be possible in many cases to avoid short-circuit flow solely by means of placing the outlet opening 336 well into the greater volume 312 of the container. This may be achieved by extending the shaft 375 of the spike 300 so until it is long enough to ensure the outlet opening 336 is well outside the interior flow space 331 of the port tube 330 .
- An embodiment 300 A with such an extended shaft 375 A is shown in FIGS. 7A and 7B .
- the other features of the embodiment of FIGS. 7A and 7B are the same as those of FIGS. 1B and 1C .
- the extension of the outlet opening 336 into the larger interior space 312 allows the outlet flow's momentum to carry it far away from the return flow out through the outlet opening 337 .
- FIG. 7C A refinement of the embodiment of FIGS. 7A and 7B is illustrated in FIG. 7C .
- a spike 700 has an elongated shaft 770 that is long enough to bring inlet and outlet openings 777 and 778 well beyond the narrow flow space of some fluid bags.
- the shaft 770 unlike the embodiments of FIGS. 1B , 1 C, 7 A, and 7 B, has a shaft 770 that is too narrow to seal the port tube (not shown in FIG. 7C , but as described with reference to other figures).
- a wider base shaft portion 780 seals the port tube. This ensures a user will force the spike 700 well into the port tube thereby ensuring the outlet opening is beyond the narrow flow space defined by the flow tube.
- the reach of a spike 390 may not have to be all the way into a fluid container 396 to avoid short-circuit flow. If the length is such as to reduce flow friction within a port tube 392 of the container 396 , then the inlet flow will not be subject to crossflow. How close an outlet 399 has to be to a greater interior 398 of the container 396 may depend on the diameter of the port tube 392 and other considerations, the crucial issue being whether there is sufficient momentum relative to frictional losses (both turbulent and viscous) to provide that most of the gases in the inlet flow will avoid being sucked back into the outlet flow. However, although it may be overkill in some cases, this can be assured by placing the outlet 399 well away from the port tube 392 , although shorter lengths such as illustrated in FIG. 7D are considered to be within the scope of the invention.
- the distance from the shelf 12 to the inlet opening 24 is about 2 to 2.5 inches while that from the shelf 12 to the outlet opening 20 is about half an inch.
- the lengths are chosen such as to be compatible with fluid containers currently having an inlet tube of 1.5 inch length or more.
- an outlet opening a tip of a spike need not face in an upward direction, but may also be configured to eject flow sideways into a fluid container.
- the number of accesses is not necessarily limited to two.
- the configuration features described can be applied in spikes with more than two openings connected to various different fluid circuits or joined to common fluid circuits.
- the seal between the spike and bag need not be a compression seal as illustrated in the above embodiments.
- a luer-type connector could be used or any other type of fitting.
- a sharp spike is described above, in some applications, a sharp point may be superfluous. For example, where a container does not require the puncturing, for example of a membrane, a sharp tip may not be useful.
Abstract
Description
Claims (19)
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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US10/393,185 US7470265B2 (en) | 2003-03-20 | 2003-03-20 | Dual access spike for infusate bags |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US10/393,185 US7470265B2 (en) | 2003-03-20 | 2003-03-20 | Dual access spike for infusate bags |
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US20050277906A1 US20050277906A1 (en) | 2005-12-15 |
US7470265B2 true US7470265B2 (en) | 2008-12-30 |
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US10/393,185 Expired - Lifetime US7470265B2 (en) | 2003-03-20 | 2003-03-20 | Dual access spike for infusate bags |
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US20070260168A1 (en) * | 2001-07-13 | 2007-11-08 | Nxstage Medical, Inc. | Systems and methods for handling air and/or flushing fluids in a fluid circuit |
US20100108681A1 (en) * | 2008-08-19 | 2010-05-06 | Baxter International Inc. | Port Assembly for Use With Needleless Connector |
US20100241088A1 (en) * | 2009-03-17 | 2010-09-23 | Baxa Corporation | Hazardous drug handling system, apparatus and method |
US20110106047A1 (en) * | 2009-10-27 | 2011-05-05 | Nxstage Medical, Inc. | Methods, devices, and systems for parallel control of infusion device |
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